Provider Demographics
NPI:1942738737
Name:PATRICK, RACHEL (RDN)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:PATRICK
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:BOCHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14 S WILLSON AVE
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-6232
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2680 WINCHESTER DR
Practice Address - Street 2:
Practice Address - City:EAST HELENA
Practice Address - State:MT
Practice Address - Zip Code:59635-3436
Practice Address - Country:US
Practice Address - Phone:406-855-1965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-24
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133V00000X
MT86035331133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered